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Insurance Plan Administrators

Feel free to review the website or contact the plan administrator regarding questions about claims, ID cards, providers, and eligible services.

Plan Name and Website Claims Address Customer Service
UT SELECT Medical
Blue Cross and Blue Shield of Texas
Group: 71778
P.O. Box 660044
Dallas, TX 75266-0044
(866) 882-2034
M-F 8 AM - 6 PM CT
UT SELECT Prescription
Express Scripts
Group: UTSYSRX
P.O. Box 14711
Lexington, KY 40512
(800) 818-0155
24 hrs. a day, 7 days a week
Living Well Health Platform
Provant Health Solutions
n/a (888) 703-2296
M-F 6 AM - 5 PM CT
Send an email
UT SELECT Dental and UT SELECT Dental Plus
Delta Dental
Group: 5968
P.O. Box 1809
Alpharetta, GA 30023

(800) 893-3582
M-F 6:15 AM - 6:30 PM CT

DeltaCare Dental HMO
Delta Dental
Group: 6690
P.O. Box 1810
Alpharetta, GA 30023
(800) 893-3582
M-F 7 AM - 8 PM CT
Superior Vision
Group: 26856
P.O. Box 967
Rancho Cordova, CA 95741-0949
(800) 507-3800
M-F 7 AM - 8 PM CT
Sat 10 AM - 3:30 PM CT
Group Term Life
Dearborn National
Group: GFZ71778
1020 31st Street
Downers Grove, IL 60515-5591
(866) 628-2606
M-F 7 AM - 7 PM CT
Accidental Death & Dismemberment
Dearborn National
Group: GFZ71778
1020 31st Street
Downers Grove, IL 60515-5591
(866) 628-2606
M-F 7 AM - 7 PM CT
Short-Term Disability and Long-Term Disability
Dearborn National
Group: GFZ71778
1020 31st Street
Downers Grove, IL 60515-5591

(866) 628-2606
M-F 7 AM - 7 PM CT

Long Term Care
CNA
Group: 0010025IS
Continental Casualty
Attn: LTC Claims
P.O. Box 946760
Maitland, FL 32794-6760
(888) 825-0353
M-F 7 AM - 5 PM CT
UT FLEX
Payflex Systems
P.O. Box 3039
Omaha, NE 68103-3039
P: (866) 887-3539
F: (877) 230-4283
M-F 7 AM - 7 PM CT
Sat 9 AM - 2 PM CT

In the interest of time and convenience the Forty Acres Pharmacy accepts the UT Select prescription drug insurance. All employees covered by the UT Select drug plan, excluding dependents; may fill prescriptions at the pharmacy.  

If your prescription are highly specialized or newer to the market it may require that you place an advance order with the UHS pharmacy at (512)-471-1824 to confirm availability.